Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.45 / $1,857.31 / $1,857.31	Professional		$358.45	$1,857.31	$1,857.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.75 / $1,268.23 / $1,658.03	Professional		$942.75	$1,268.23	$1,658.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.48 / $1,857.31 / $2,600.23	Facility		$370.48	$1,857.31	$2,600.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $1,159.61 / $2,354.15	Professional		$966.35	$1,159.61	$2,354.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.50 / $1,957.36 / $2,368.00	Professional		$1,437.50	$1,957.36	$2,368.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.48 / $1,857.31 / $2,600.23	Facility		$370.48	$1,857.31	$2,600.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $1,923.90 / $2,464.00	Professional		$569.41	$1,923.90	$2,464.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.22 / $1,775.52 / $2,232.08	Professional		$1,003.22	$1,775.52	$2,232.08